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J L Cohen Solal

Publications and source records attributed to J L Cohen Solal.

7 recordsLinked to original sources

[Volvulus of the mobile spleen. Conservative laparoscopic treatment].

BACKGROUND: Volvulus of the mobile spleen is a rare condition generally manifested by acute sudden onset abdominal pain localized in the left flank. Ultrasound or computed tomographic imaging generally provides the diagnosis. CASE REPORT: An 18-year-old patient was hospitalized for acute pain of the left flank that had begun 48 hours earlier. The abdominal scan visualized a volvulus of a mobile spleen. Laparoscopic distortion was successful, allowing normal recoloration of the spleen. DISCUSSION: Rapid intervention is crucial for conservative treatment. Laparoscopic treatment allows distortion manoeuvres and splenopexia using a mesh. This is the first reported case of successful conservative laparoscopic treatment of volvulus of a mobile spleen.

Abdominal Pain↗

[Cystic dystrophy of an aberrant pancreas. Surgery after failure of medical therapy].

BACKGROUND: Cystic dystrophy of aberrant pancreas, characterized by cystic formations in ectopic pancreatic tissue, produces variable signs. Treatment is difficult. CASE REPORT: Our patient presented signs of acute pancreatitis and angiocholitis due to cystic dystrophy of an aberrant pancreas situated in the duodenal wall associated with chronic alcoholic pancreatitis. Prolonged medical treatment was unsuccessful. Duodenopancreatectomy with preservation of the tail led to complete regression of the clinical signs. DISCUSSION: Signs of cystic dystrophy of an aberrant pancreas vary greatly. Diagnosis is generally established on the basis of echoendoscopic findings. After failure of medical treatment, duodenopancreatectomy with preservation of the tail could be the most appropriate surgical treatment, hypothesizing that the disorders result from obstruction of the Wirsung and the lower main bile ducts.

Choristoma↗

[Acute arterial mesenteric ischemia].

The authors report the experience of their surgical department, in the treatment of acute arterial mesenteric ischemia. They insist on the diagnostic, and sometimes therapeutic, interest of mesenteric arteriography. Arterial revascularisation must be the surgical aim. In spite of this attitude, the prognosis of acute mesenteric ischemia remains very severe.

Adult↗